Dr. Vincent Scarpinato, MD
1711 27th St Ste 402, Portsmouth, OH 45662 • +1-809-555-9116
Medical Education: Accredited U.S. Medical School (Class of 2007)
What This Doctor Actually Performs: CMS Medicare Utilization & Portsmouth Percentiles
NPI #1275614026 • CBSA Regional • General Surgery
Dr. Vincent Scarpinato, MD (NPI #1275614026) practices General Surgery in Portsmouth, OH (45662) with sub-specialty concentration in 44 Active CMS HCPCS Codes, recording 731 annual CMS services across 287 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (0th Portsmouth percentile) (-0.54σ vs OH state mean, 28.92th statewide percentile).
Fee-schedule auditing of NPI 1275614026 highlights 329 annual claims for 99214 (12th Portsmouth percentile; $185–$253 self-pay corridor) plus 190 encounters under 99213 and 95 under 93000.
Self-pay new patient consultations with Dr. Scarpinato (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with in-person clinic visits only, 9-minute average reception wait, and a 4.40/5 modern protocol openness score across 3 patient logs.
Clinical background for Dr. Scarpinato (MD, NPI #1275614026) includes accredited doctoral training (2007, 19 yrs in practice) and dedicated on-site consultations at 1711 27th St Ste 402.
Compared against Portsmouth, OH General Surgery peers
731 annual services across 287 beneficiaries
Standard deviations from OH General Surgery mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 329 | 12th | $185 – $253 |
| 99213 | Established Preventive & Chronic Care Visit | 190 | 12th | $141 – $194 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 95 | 12th | $68 – $93 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 73 | 12th | $217 – $297 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 44 | 12th | $257 – $353 |
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Dr. Vincent Scarpinato, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Scarpinato National Provider Identifier | NPI #1275614026 (MD) | CMS NPPES Registry (45662) |
| Dr. Scarpinato Portsmouth CMS Volume Rank | 0.00th Pct (731 CMS svcs; Z -0.538σ) | CMS Medicare Part B (OH General Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Portsmouth, OH) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 9 min lobby wait | 3 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.76/5 Listening • 4.40/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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